Mankhwala othandizira pancreatic

Pancreatitis ndi imodzi mwazofooka kwambiri m'matumbo a anthu. Maziko a kupezeka kwa zovuta za zizindikiritso (zotupa za m'chiuno, kutsekula m'mimba, kukwera kwa kutentha kwa thupi) ndikuphwanya kwa ntchito yopanda kanthu ndikuwonjezera ma enzymes ake. Nthawi zambiri chithunzichi chimachitika pambuyo pa phwando lalikuru ndikugwiritsa ntchito mowa wambiri. Popeza nthawi zina zimakhala zovuta kudzikana nokha zosangalatsa zakudziko, ndikofunikira kudziwa momwe mungathere moyenera kutulutsa zikondamoyo.

Mfundo zoyambira

Choyamba, muyenera kumvetsetsa kuti matendawa amatha kuchitika pachimake komanso chovuta, zomwe zikutanthauza kuti mankhwalawo atha kukhala osiyana. Yoyamba imadziwika ndi ntchito yayitali kwambiri ndipo imafunika kuchipatala mwachangu. Nthawi zambiri, kuukira kwa kapamba kungayambitse opareshoni. Kuwonongeka kwa nthawi yayitali kwa kapamba kumakhala kosavuta kwambiri ndi nthawi yochulukirapo komanso kukhululuka, komwe kumathandizidwa ndimankhwala wamba.

Kachiwiri, pali malingaliro oyenera pakuthandizira matenda omwe ali ofanana mu onsewa ndipo amaphatikizanso izi:

  • kupweteka
  • kuthetseratu vuto la dyspeptic,
  • limbana ndi kutupa,
  • kupewa mavuto,
  • kukonzanso
  • kukonza moyo wabwino.

Kutengera momwe matendawa amachitikira, zovuta zakuchiritsa zimatha kusiyanasiyana.

Chithandizo cha pachimake kapamba

Monga tafotokozera pamwambapa, chithunzithunzi cha kutupa kwadzidzidzi kwa kapamba nthawi zambiri chimachitika nditatha kudya mafuta ambiri komanso mowa. Pankhaniyi, muyenera kuyimbira ambulansi ndikugoneka odwala. Zochizira zoyenera kugwiritsa ntchito poyambira:

  1. Ozizira pamimba pakuwonekera kwa chiwalo chowonongeka. Izi zimathandizira kuchepetsa mitsempha yamagazi ndikuchepetsa kutupa,
  2. Ntchito yotsalira ya kapamba. Mwanjira yosavuta - muyenera kufa ndi njala osachepera maola 24-48. Chifukwa cha kuchepa kwa michere ya m'mimba, matendawa amapita patsogolo, motero ndikofunikira kuchepetsa zinthu zomwe zikukulitsa momwe mungathere magawo oyambawo, panthawiyi, kudya,
  3. Kumwa mankhwala antispasmodic. Kugwiritsa ntchito nthawi yamatenda a kutupa kwa pancreatic ndi mapiritsi a No-shpa 2 (0.08 g), mapiritsi a Papaverine 2-3 (0,88-0.12 g) kapena zidutswa za katatu (15 mg) kamodzi. Pakupanga mankhwala okongoletsa, kuwongolera mobwerezabwereza kwa mankhwala sikulimbikitsidwa chifukwa chitha kuyambitsa mavuto.

Pambuyo pake chithandizo chikuyenera kuchitika moyang'aniridwa ndi dokotala kuchipatala ndikuchitidwa mofananamo ndi kufalikira kwa kapamba.

Chithandizo cha chifuwa chachikulu cha khansa

Ndizofunikira kudziwa kuti njira yothandizira vutoli yofananira ndiyofunika kuti ikhale yokhayokha komanso yokwanira. Palibe matenda omwe amapezeka chimodzimodzi monga momwe mulibe anthu ofanana. Njira yakuchira kwa wodwala aliyense imayenera kuganizira zonse zomwe zimachitika m'thupi. Komabe, pali mankhwala angapo oyambira omwe amagwiritsidwa ntchito pafupifupi nthawi zonse.

Gawo loyamba ndikuchepetsa ululu

Pothandiza mpumulo wa matenda a ululu:

  1. Antispasmodics. No-spa yomwe ili pamwambapa, Papaverine ndi ena oimilira gulu ili la mankhwalawa ndi wabwino kwambiri kuti athetsere ululu wofooka komanso wapakati. Mlingo: piritsi limodzi 3-4 pa tsiku musanadye,
  2. Mankhwala osokoneza bongo oletsa kuponderezana. Chosankha chabwino kwambiri pakuthandizira matendawa ndi Paracetamol, Analgin kapena Baralgin. Ndiosavuta kukumbukira njira yotsatsira, popeza ndi yofanana ndi mankhwala onse - mapiritsi 2 katatu patsiku mukatha kudya. Alinso ndi anti-yotupa katundu, yoyenera kwambiri chifukwa cha kapamba,
  3. Ndi zotupa za matenda osapezekanso ndi kupweteka kwambiri pamimba, mutha kugwiritsa ntchito Promedol 25-50 mg (mapiritsi a 1-2) okhala ndi mlingo wambiri wa tsiku ndi tsiku wa 200 mg kapena Tramadol 1 piritsi 50 mg kamodzi kuti muchepetse kuukira. Mankhwala oterowo ayenera kumwedwa mosamala kwambiri ndikuwonetsetsa kuti adziwitse adokotala za momwe adzagwiritsire ntchito.

Gawo lachiwiri ndi kusintha.

Gawo lotsatira mankhwalawa chifukwa cha kutupa kwa pancreatic ndikudziwikanso kwa matenda a exretory. Kuti muchite izi, gwiritsani ntchito:

  1. Mankhwala enzymatic. Gulu la mankhwalawa limapangidwa kuti lithandizire kuti chiwalocho chiwonongeke chokwanira kugaya zinthu zomwe zimachokera kunja. Mwa kutchuka kwakukulu pakati pa gastroenterologists:
    • Creon 25,000.Yopezeka m'mapiritsi 300 mg. Muyenera kudya chidutswa chimodzi pakudya kamodzi katatu patsiku,
    • Pancreatin 25 000. Mwanjira yokhala ndi ma dragees, muyenera kumwa mapiritsi awiri ndi chakudya katatu patsiku,
    • Pancytrate 10,000 kapena 25,000. Mlingo watsiku ndi tsiku ndi magawo 75,000 a ntchito (UNITS). M'pofunika kugwiritsa ntchito makapisozi amtundu umodzi (25 tys. UNITS) kapena 2-3 (ma tys. UNITS) pachakudya chilichonse.

Odwala omwe amathandizidwa ndi chifuwa chachikulu cha khansa ayenera kukonzekera kugwiritsa ntchito gululi kwa nthawi yayitali, popeza amayamba kulephera kugwira ntchito kapamba.

  1. Kukonzekera kwa Antenzyme. Amagwiritsidwa ntchito kokha pakuwonjezeka ndi chiwonetsero chachikulu cha michere yogwira, ndipo chithandizo chikuchitika mu chipatala ndikuwongolera. Pofuna kupewa kuwonongeka kwa zinthu za proteinolytic, Contrical imayendetsedwa pamitsempha yama 200,000 ndi ma Gordox 500,000 pang'onopang'ono. Mlingo watsiku ndi tsiku ndi magawo 400,000 ndi 1,000,000, motero.

Gawo lachitatu ndi chitetezo ndi kupewa

Popeza kapamba amadwala chifukwa chobisalira payekha, ndikofunikira kuteteza chimbudzi ndikuletsa mavuto. Pachifukwa ichi, gwiritsani ntchito:

  1. Maantacid. Gulu la mankhwalawa limachepetsa acidity m'mimba ndipo limalepheretsa mavuto ena omwe amapezeka pano chifukwa cha 12 duodenal gastric Reflux. Kuphatikiza apo, amathandizira kuteteza mucous nembanemba komanso kupewa kutulutsa zilonda zam'mimba. Makapu a Omeprazole 2 (0,02 g) kamodzi kadzutsa asatchuka, piritsi 1 la Nolpaza (0,02 g) m'mawa ndi madzulo musanadye chakudya ndi Fosfalugel zomwe zili 1 sachet katatu patsiku musanadye,
  2. Ma H2 blockers. Awa ndi mankhwala omwe amaphatikiza ma analgesic ndi ma antacid zotsatira. Amagwiritsidwa ntchito kawirikawiri, chifukwa amakhala ndi zovuta zingapo. Sitikulimbikitsidwa kuti muwatchule anyamata achichepere chifukwa choopsa kwambiri chosabala. Oimira otchuka kwambiri ndi Ranitidine ndi Famotidine. Woikidwa, motero, piritsi limodzi 2 pa tsiku musanadye (makamaka m'mawa ndi madzulo). Mwa kutsekereza histamine receptors, mankhwala amachepetsa acidity ndikuchepetsa ululu.

Zina mwa mankhwalawa a kapamba

Mankhwala ali ndi zida zambiri zamankhwala osiyanasiyana, komabe ndizovuta kuchiza matenda a kapamba. Wodwala aliyense yemwe ali ndi matenda otere ayenera kumvetsetsa kuti ngati iye samayesetsa kuchita zonse zofunika kuti akhale ndi thanzi, ndiye kuti palibe mapiritsi omwe angamuthandize. Kuphatikiza pa kumwa mankhwala, pali zina zambiri zomwe ziyenera kuchitika:

  • Zakudya - ndikofunikira kuti muchepetse zakudya zomwe zingapangidwe ndikukazinga ndi kusuta,
  • kusiya mowa ndi kusuta. Izi ndizofunikira makamaka pakuwonjezera matendawa,
  • yesetsani kupewa zopanikiza. Zachidziwikire, masiku ano izi ndizosatheka, koma ndiyofunika kuyesa,
  • Zochita zolimbitsa thupi. Kuchita zolimbitsa thupi mopepuka kumalimbitsa thupi ndikulimbitsa njira zolimbitsa thupi pakugawika kwamadzi onse.

Pancreatitis iyenera kuthandizidwa mokwanira pogwiritsa ntchito njira zonse zomwe zilipo.

Mfundo zachikhalidwe zamankhwala

Tsoka ilo, kapamba ndi matenda omwe sangathe kuchiritsidwa ndi mankhwala. Chifukwa chake, ndi kutupa kwa kapamba, mankhwalawa amagwiritsidwa ntchito omwe zochita zawo zimangoyesetsa kuthana ndi matendawa ndikuchepetsa zomwe wodwalayo amadwala.

Monga lamulo, kuchulukitsa kwa kutupa kosatha kapena kukula kwa mankhwala osokoneza bongo, antispasmodic ndi analgesic amagwiritsidwa ntchito omwe amathandizira kupweteketsa mtima ndikuwononga spasms pakuwonekera kwa ndulu. Palibenso mankhwala ena omwe amagwiritsidwa ntchito mpaka chiwopsezo chithe. Nthawi yomweyo, chakudya chanjala chimagwiritsidwa ntchito, chomwe chimatsimikizira kuchotsedwa kwa katundu pa kapamba ndi kuchepa pakupanga madzi a kapamba. Ngati kufa ndi njala sikungathandize kuchepetsa kupanga ma enzyme ndipo kuukira kukakulirakulira, othandizira enzyme amagwiritsidwa ntchito.

Matenda am'mimba atachotsedwa, wodwalayo amaloledwa kudya chakudya "chopepuka", koma kuti achepetse zovuta pazakudya zam'mimba, kukonzekera kwa enzyme kumayeneretsedwa kwa nthawi yayitali.

Kutengera ndi kuopsa kwa njira yotupa, adotolo amatha kukupatsaninso mankhwala ena, mwachitsanzo, maantibayotiki kapena maantidididi. Chithandizo chikuyenera kuchitika kuchipatala. Ndipo pokhapokha wodwala atakhazikika, chithandizo chitha kuchitika kunyumba.

Ndi mankhwala ati omwe amagwiritsidwa ntchito pochiza pancreatitis?

Ndi mapiritsi ati omwe amayenera kumwa kwa anthu omwe ali ndi kapamba, ndi dokotala yekha amene amasankha. Kusankhidwa kwa njira zamankhwala kumadalira pazinthu zingapo:

  • zimayambitsa activation yotupa,
  • kukula kwa matendawo,
  • kukhalapo kwa matenda ophatikizika mwa wodwala (mwachitsanzo, matenda a shuga, gastritis, cholecystitis, etc.),
  • kuchuluka kwa wodwala,
  • wodwala amakhala akuphwanya mankhwala ena,
  • zaka wodwala.

Chifukwa chake chifukwa cha kutupa kwa mutu wa kapamba, musanachiritse wodwalayo, amafufuza mosamalitsa, womwe umaphatikizapo:

  • ultrasound yam'mimba,
  • gastroscopy
  • kusanthula kwamwazi m'mwazi ndi mkodzo,
  • compact tomography (ngati ilipo), ndi zina.

Maantibayotiki

Ndi chitukuko cha kapamba, antibacterial mankhwala sagwiritsidwa ntchito nthawi zonse, pokhapokha akuwonetsedwa. Monga lamulo, amagwiritsidwa ntchito pothana ndi wodwalayo momwe matenda amayamba ndi kutentha kwambiri, zomwe zikuwonetsa kuti matendawa ndi ovuta.

Mankhwala a antibacterial amafunikira pamene wodwalayo ali ndi zizindikiritso zakumbuyo ya matendawa:

  • necrosis
  • chotupa
  • kunyowa
  • peritonitis
  • zovuta za septic.

Ndi kapangidwe kovuta ka kapamba mu amayi ndi abambo, maantibayotiki amaikidwa mankhwala mosiyanasiyana, komanso mlingo. Monga lamulo, pamene izi zikuchitika, maantibayotiki amagwiritsidwa ntchito, omwe ali m'gulu la cephalosporins, phthoquinolones ndi macrolides.

Tiyenera kudziwa kuti ndi kutupa kwambiri komanso kuwopsa kwa zovuta, dokotala atha kusankha kutenga ma virus angapo omwe ali m'magulu osiyanasiyana a mankhwalawa nthawi imodzi, kuti athe kufotokozera mwachangu ma tizilombo onse omwe amapanga zambiri m'mimba.

Katundu wa enzyme

Mankhwalawa amagwiritsidwa ntchito kutsitsa katundu paziphuphu zoyipa. Mu kapangidwe kake kamakhala ndi zinthu za enzyme zomwe zimapereka njira yabwino yokumba. Mwazi wawo ukakhala wofunikira, kapamba amasiya kuwapangira ndipo amapuma mokhazikika, zomwe ndizofunikira kwambiri pochiza matenda.

Mu chitukuko chachikulu cha kapamba, kukonzekera kwa enzyme kuyenera kumwedwa kokha miyezi ingapo itatha kupumula kwa vuto la kupweteka. Ngati nthendayo yatenga matenda osachiritsika, ndiye kuti othandizira amakhala ndi moyo. Komanso, kudya kwawo kosalekeza kumafunikira muzochitikazo pomwe ntchito zimachitika pa kapamba pomwe gawo lachigawo kapena lathunthu linachitika.

Kuphatikiza apo, kukonzekera kwa enzyme kumapereka kuchepetsa kwa zizindikiro zomwe zimayenderana ndi kutukusira kwa kapamba. Awa ndi maulendo angapo a mseru, kusanza, komanso kusokonezeka kwa chopondapo.

Masiku ano, pakati pa kukonzekera kwathunthu, zogwira mtima kwambiri ndi izi:

Mankhwalawa amatha kugulidwa ku pharmacy iliyonse. Amayenera kumwedwa nthawi yakudya kapena itatha. Asanadye chakudya, ndizosatheka kumwa kukonzekera kwa enzyme, chifukwa amayamba kuchita atangolowa m'mimba. Chipolopolo chawo choteteza chimasungunuka ndipo zinthu za enzymatic zimayambitsa kugaya. Ndipo popeza m'mimba mulibe kanthu, maselo ake amayamba kugaya.

Antispasmodics

Mu matenda monga pancreatitis, mankhwala a antispasmodic amagwiritsidwa ntchito pochotsa ma spasms omwe amapezeka kumbuyo kwa kutupa ndikuletsa kutulutsa kwampweya kwa pancreatic mu duodenum 12. Pakati pawo, otetezeka kwambiri ndi No-shpa ndi Papaverin.

Zofunika! Ngati munthu wadwala mwadzidzidzi matenda a kapamba, kuti athetse vuto lakelo gulu la ambulande lisanachitike, mutha kuyikapo jekeseni la No-shpa. Amathandizanso kuphipha, potero amasintha kuchuluka kwa kapamba komanso kuchepetsa kupweteka.

Anticholinergics

Mankhwalawa amathandizanso kuthana ndi ma spasms mu ma pancreatic ducts ndikuperekanso matumbo a matumbo. Pakati pawo, omwe ali ambiri ndi:

Mankhwalawa amapereka kusakanikirana kwa hydrochloric acid, kuisokoneza ndikuthandizira kuti matumbo a asidi akhale. Ikakwezedwa, imakhala chifukwa chowonjezeka chopanga michere yogaya ya kapamba, ndipo izi ndizowonjezera pamtunduwu, zomwe zingayambitse kuchuluka kwa machitidwe a kutupa.

Kuphatikiza apo ma antacid amathandizira acidity yam'mimba, amakhalanso ndi zotsatira zowononga za pepsin ndi asidi a bile, potero amateteza chithokomiro ku zotsatira zake zoyipa.

Nthawi zambiri, madokotala amapereka mankhwala otsatirawa aantacid kwa odwala awo:

H2 histamine receptor blockers

Mankhwalawa amagwiritsidwa ntchito ngati munthu ali ndi vuto lowuma kwambiri, pomwe munthu wotsutsana ndi maziko a kutupa kwa kapamba amatsegula masanzi ndipo pali vuto lakutha kwamadzi. Pankhaniyi, amagwiritsidwa ntchito ngati antiemetic othandizira omwe amapereka kutulutsa kwamkati pamimba ndi duodenum. Pakati pa H2 blockers a histamine receptors, omwe amapezeka kwambiri pamankhwala ndi metoclopramide ndi cerucal.

Ophera

Tikulankhula za momwe tingachotsere ululu wammbuyo womwe umachitika ndi kukula kwa kapamba kapamba kapena kuwonjezereka kwa matenda osatha, sitinganene zakuchita bwino kwambiri pankhaniyi ya ophatikizana ndi analgesic ndi antispasmodic zotsatira. Amapereka mpumulo ku cramping ndikuchepetsa kuwawa kwa zowawa.

Pakati painkinkler omwe amagwiritsidwa ntchito kwambiri:

Ngati mankhwalawa salola kuti muchepetse ululu kwa mwana kapena munthu wamkulu, mankhwala a narcotic amagwiritsidwa ntchito, pakati pawo ndi Promedol ndi Tramadol. Mankhwalawa amagwiritsidwa ntchito kuchipatala chokha, chifukwa amatha kuyambitsa machitidwe osiyanasiyana mthupi.

Njira

Ngati kuchulukitsa kwa matenda kapamba kapena kupindika kwa pachimake kumachitika motsutsana ndi maziko a kupsinjika kwakukulu, ndiye kuti chithandizo chachikulu chimathandizidwa ndi mankhwala osokoneza bongo. Amathandizira kuchotsedwa kwa kusekerera komanso kusintha kwachilengedwe kwamkati wamanjenje. Malo otetezedwa bwino amatengedwa kuti amachokera pazomera, zomwe pakati pake pali zolemba za valerian (pamapiritsi) ndi Novopassit.

Chithandizo cha kapamba ndi njira yovuta kwambiri komanso yayitali. Tiyenera kumvetsetsa kuti matendawa ali ndi zifukwa zosiyanasiyana zoyambira, chifukwa chake amathandizidwa mosiyanasiyana. Chifukwa chake, mulibe konse muyenera kudzisinkhasinkha komanso makamaka kuti mudziwe mankhwala alionse. Dokotala yekha ndi amene angachite izi!

Kusiya Ndemanga Yanu